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Performance Improvement Specialist
Rehmann
Grand Rapids, MI, United States
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Answer Health is a high performing, integrated physician network serving independent practices and providers across West Michigan. We represent approximately 200 independent practices, providing tools, infrastructure, and support required to adapt to the rapidly changing healthcare environment. The wide range of value-added services are designed to enhance the efficiency and effectiveness of independent practices, provide quality performance support, and payer contract and operational support.
We value our people and network members, as expressed in the following statements:
Value Statement = AH Values
We make service our #1 priority = committed, passionate, responsive
We are forward thinking = progressive, creative, innovative
We are dependable = reliable, trustworthy, consistent
We are a team = collaborative, supportive, respectful
We are proud of our organization = dedicated, invested, engaged
POSITION SUMMARY
The position supports performance and related business process improvements across assigned Answer Health member practices. Acts as resource and subject matter expert for practices related to various network and payer incentive programs. Reviews/analyzes data to identify the effectiveness of existing processes and performance improvement opportunities. Engages with operational and clinical leadership within practices to develop sustainable changes to clinical and business processes. Collaborates with analysts to develop actionable performance reports. Generates measurable improvements in quality, utilization/cost, and patient experience outcomes at the practice and network levels. Shares best practices across member practices through individual meetings and monthly workgroups.
Duties and responsibilities:
1. Provide face to face interaction with practice contacts and leadership to support the communication of network and payer initiatives.
2. Work with partnered primary care and/or specialist practices on payer incentive programs, including infrastructure, quality, utilization/cost, patient experience, and performance reporting.
3. Contribute meaningfully to PO Quality Team performance improvement initiatives, activities, and reporting.
4. Support the development, implementation, and monitoring of evidence-based care pathways and clinical standards.
5. Coordinate with PO IT Team to provide analytical and technical support to PO projects and improvement activities.
6. Participate in payer and other meetings in support of process and performance improvement on all initiatives.
7. Assist with practice workgroups, meetings, webinars related to process improvement work.
Skills and abilities:
1. Ability to work autonomously, with strong time management, priority setting, and organizational skills.
2. Excellent written, verbal communication and interpersonal skills.
3. Ability to make independent decisions based on strong problem-solving skills.
4. Ability to listen to others and maintain strictest levels of confidentiality.
5. Ability to function effectively in a fluid, dynamic, and rapidly changing environment.
6. Ability to develop positive, longitudinal relationships with practice managers, clinicians, and work colleagues.
7. Competency in the use of a variety of computer hardware and software systems (e.g., Microsoft Office).
Required Qualifications:
1. Bachelor’s Degree from an Accredited College or University in healthcare, healthcare management, business administration, or field closely related to operational improvement/process improvement/ project management.
2. Minimum of three years of experience working on quality and process improvement initiatives with practice management and clinicians.
3. Time management, priority setting, work delegation, and work organization.
4. General computer knowledge.
Preferred Qualifications:
• Previous experience with third-party payer programs including PCMH, HEDIS, etc.
• Previous experience working with a network, Physician Organization, Physician-Hospital Organization, or Independent Practice Association.
• Experience working with/in electronic medical records and/or registry systems.
Other:
All employees must ensure that services are provided in accordance with state and federal regulations, organizational policy, and accreditation and compliance requirements.
Employees are expected to demonstrate reliable attendance and are expected to demonstrate by attitude and action their recognition of the necessity of positive and professional interaction with co-workers and the critical importance of effective and respectful communication with co-workers, staff of other affiliates, customers, patients, and visitors.
It is expected that all employees work as a team member helping others to contribute to the overall success of Answer Health. Satisfaction of these core expectations is considered an essential function of all positions at Answer Health.
Answer Health is committed to providing reasonable accommodations to qualified individuals with disabilities to allow them to perform the essential functions of their position.